Make the most of a high-deductible health plan
Life Kit
NPR
4.5 • 4.9K Ratings
🗓️ 20 April 2026
⏱️ 15 minutes
🧾️ Download transcript
Summary
Have a question about navigating the health care system? Contact us here and you might be part of an upcoming episode of Health Care Helpline.
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Transcript
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| 0:00.0 | You're listening to Life Kit from NPR. |
| 0:05.1 | Hey, it's Mariel. Today we're talking about health insurance, specifically high deductible health |
| 0:11.1 | plans. High deductible health plans are common in the U.S. A lot of people choose them because |
| 0:17.0 | they have much cheaper premiums. And premiums are what you pay every month just to have |
| 0:21.3 | the insurance, even if you don't use it. If you get your insurance through work, these will come out of |
| 0:25.2 | your paycheck. The thing is, high deductible plans also have high deductibles. Your deductible is |
| 0:32.4 | the amount that you have to pay for covered services before your insurance start sharing costs. |
| 0:38.9 | This is Jackie Fortier. |
| 0:40.2 | She's been reporting on high deductible health plans for an NPR and KFF Health News series called |
| 0:45.7 | Healthcare Helpline. |
| 0:47.5 | Now, sharing costs means that after you've paid a certain amount out of pocket, your deductible, |
| 0:52.6 | your insurance will pay a portion of each medical |
| 0:55.7 | bill and you'll pay the rest. Could be an 80-20 split, a 70-30 split. It depends on your plan. |
| 1:02.1 | A lot of folks sign up for high deductible plans because of the cheap premiums, but then they |
| 1:06.6 | get surprised later. I talked to Madison Burgess. She's an elementary school teacher in San Diego, |
| 1:11.5 | and she was shopping around for a good deal for her husband. And when I initially got the plan, |
| 1:17.8 | I just looked for the cheapest thing. And I didn't know what deductible was. I just went with |
| 1:24.3 | what was cheap. And now I have regret. |
| 1:32.5 | So her husband has to meet an almost $6,000 deductible before insurance will pay. |
| 1:37.9 | If you signed up for a high deductible health plan and now you're wondering, how do I use this thing? |
| 1:39.4 | We are here to help. |
| 1:45.8 | On this episode of Life Kit, a playbook for using your high deductible health insurance plan. |
... |
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